However, because the study was underpowered and did not reach statistical significance, 10 routine use of penicillin prophylaxis in those aged ≥5 years was not recommended. 11 After institution of penicillin prophylaxis, both adherence 12 and the emergence of antibiotic resistance 13 presented challenges to this IPD preventive strategy.
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Pneumococcal infections in children with sickle cell disease before and after pneumococcal conjugate vaccines.
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The sentences
Strength of association was defined as significant at an α level <.001 and approaching significance at an α level <.050 to .001 (statistical package, SAS 9.4, Cary, NC).